Active NPI
Irem P. Franco, LCSW
- Clinical Social Worker
- Deer Park, NY
National Provider Identifier
1922433754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 087861
- Practice address
- PO Box 497
Deer Park, NY 11729-0497 - Phone
- (516) 698-5511
- NPI assigned
- Sep 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 095484 | NY | |
| Clinical Social Worker | 1041C0700X | 087861 | NY | Primary |
Addresses
Primary practice location
PO Box 497
Deer Park, NY 11729-0497
Mailing address
PO Box 497
Deer Park, NY 11729-0497
Phone (631) 954-2287
Other practice location 1
55 Horizon Dr
Huntington, NY 11743-4436
Phone (631) 396-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190322001902 | NY | Practitioner - Clinical Social Worker | 5395085658 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 095484 | NY | MD | Social Worker |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Medical, P.C. | Current | Accepting new patients | |
| Conscious Mind Psychotherapy | Clinical | Current | Accepting new patients |
Locations
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
2363 James St
#523
Syracuse, NY 13206
Networks
- Healthfirst Medicare Network H9678
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1922433754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 497",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117290497",
"telephone_number": "631-954-2287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 497",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117290497",
"telephone_number": "516-698-5511"
}
],
"practiceLocations": [
{
"address_1": "55 Horizon Dr",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "NY",
"postal_code": "117434436",
"country_code": "US",
"telephone_number": "631-396-2300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRANCO",
"first_name": "IREM",
"middle_name": "P.",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-11",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "095484",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "087861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deer Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.